Pappas Theodore N
Am Surg. 2017 Dec 1;83(12):1329-1335.
General Douglas MacArthur was a towering public figure on an international stage for the first half of the 20th century. He was healthy throughout his life but developed a series of medical problems when he entered his 80s. This article reviews the General's medical care during two separate life-threatening medical crises that required surgical intervention. The first episode occurred in 1960 when MacArthur presented with renal failure due to an obstructed prostate. Four years later after his 84th birthday, MacArthur developed bile duct obstruction from common duct stones. He underwent an uncomplicated cholecystectomy and common duct exploration but developed variceal bleeding requiring an emergent splenorenal shunt. His terminal event was precipitated by strangulated bowel in long-ignored very large inguinal hernias. MacArthur died, despite state-of-the-art surgical intervention, due to renal failure and hepatic coma.
道格拉斯·麦克阿瑟将军在20世纪上半叶是国际舞台上的一位杰出公众人物。他一生都很健康，但在80多岁时出现了一系列健康问题。本文回顾了将军在两次危及生命的医疗危机期间的医疗护理情况，这两次危机都需要进行手术干预。第一次发作发生在1960年，当时麦克阿瑟因前列腺梗阻出现肾衰竭。在他84岁生日四年后，麦克阿瑟因胆总管结石出现胆管梗阻。他接受了一次简单的胆囊切除术和胆总管探查，但出现了静脉曲张出血，需要紧急进行脾肾分流术。他的最终病情是由长期被忽视的非常大的腹股沟疝绞窄性肠梗阻引发的。尽管进行了最先进的手术干预，麦克阿瑟还是因肾衰竭和肝昏迷去世。
